Apply Online

We are thrilled that you are interested in joining the teams at the Quincy Center for Innovation. But first we need to know a little bit about you. Simply complete this preliminary online application and a QCI staff member will get back to you with your next steps:

Your Name (required)

Business Name (required)

Current Address (required)

Your Email (required)

Phone (required)

Website (required)

Company Facebook User Name

Company Twitter User Name

Please provide a brief narrative of the nature of your business: (required)

Years in business

Number of employees/staff expected on site at QCI

Gross Annual Revenue (required)
 $0-$100,000 $100,000-$250,000 $250,000-$500,000 $500,000-$1million $1million plus

Amount of funding received to date: $

Funding Source (required)
 Boot Straps/Friends & Family Seed/Angel Venture Capital Strategic funding from corporate structure

I am interested in (required)
 Co-working table space Dedicated table space Shared cubicle Private cubicle Private office

Anticipated program term: (required)
 1-3 months 3-6 months 6-9 months 9-12 months 1 year plus

Anticipated program start date: (required)

Briefly explain how your company makes or will make money (required)

What makes your company "innovative"? (required)

How do you expect working at the QCI to benefit you and your company?

All information submitted in this application form will be kept confidential and will only be used for the purposes of entry into the program(s) at the Quincy Center for Innovation. The Quincy Center for Innovation reserves the right to deny entrance into the program to anyone for any reason.